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- Title
One-day bowel preparation in children with colostomy using normal saline.
- Authors
Ameh, Emmanuel A.; Lukong, Christopher S.; Mshelbwala, Philip M.; Anumah, Mark A.; Gomna, Alexander
- Abstract
Background: Colonic and colorectal surgery frequently requires bowel preparation. This is an evaluation of the use of normal saline for one-day bowel preparation in children with colostomy. Patients and Methods: A prospective study of 55 children with colostomy who had one-day bowel preparation for colonic and colorectal surgical procedures in a 3-year period. The information, along with clinical data was recorded on a structured proforma. Data were analysed using SPSS version 11.0. Results: There were 33 boys and 22 girls. The median age was 4 years (range, one month - 13 years). The primary diagnosis were as follows: Anorectal malformation, 24 (44%); Hirschsprung`s disease, 24 (44%); Faecal incontinence- post-abdominoperineal pull-through, 2 (4%); Penetrating rectal injury, 1 (2%); others, 4(8%). Intraoperative bowel luminal fluid cleanliness was assessed as clear in 36 (62%) and contaminated in 21 (38%). Overall, postoperatively, superficial surgical site infection occurred in 6 (10.9%) patients (2 had clean intraoperative colonic fluid, 5.9%. Conclusion: One-day bowel preparation using normal saline is effective and safe in children with colostomy.
- Subjects
COLOSTOMY; LONGITUDINAL method; CHILD patients; HIRSCHSPRUNG'S disease; FECAL incontinence in children
- Publication
African Journal of Paediatric Surgery, 2011, Vol 8, Issue 3, p291
- ISSN
0189-6725
- Publication type
Article
- DOI
10.4103/0189-6725.91670